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Department of Transportation Physicals

Before your DOT physical exam appointment at Orange City Area Health System

The DOT and FMCSA have updated the requirements for drivers to be licensed for a commercial motor vehicle. Below are guidelines on what information you should gather for your upcoming appointment. Having this information available will speed the process but does not guarantee clearance. If your examining provider cannot grant full certification at the time of the visit, you will have 45 days to obtain the necessary documents. We recommend having your appointment at least 2 weeks before the expiration of your current certification (if you have one). Please arrive 15 minutes prior to your scheduled appointment so we can review your information.

What you will be asked to do:

  1. Produce a urine sample at the visit. Please come prepared to do so.
  2. If you are 35 years or older and smoke, you may be required to undergo a lung function test. This may also happen if you have other lung conditions.
  3. If you’re significantly overweight (BMI greater than 35 or a large neck size), you may be asked to undergo a sleep study to examine for sleep apnea.

What to bring:

  1. Picture identification such as a driver’s license or passport.
  2. Previous DOT certification (if you have one) including both card and long form.
  3. Specialty exemption paperwork (if you require one).
  4. Contacts, glasses and/or hearing aids if you wear them.
  5. Containers of all prescription medications, over-the-counter medications and supplements that you take.
  6. If you take warfarin (Coumadin), bring a report of your INR tests for the last 6 months.
  7. If you are treated for any mental issues (anxiety, depression, PSTD, attention deficit, etc.), please bring a letter from your treating provider regarding your current situation and ability to drive while taking medications used to treat those issues.
  8. If you have diabetes, we will need copies of the last 6 months of your hemoglobin A1c tests.
  9. If you use CPAP, BiPAP or VPAP to sleep, you must bring a printout from your machine for the last 30 days. Please check with your machine’s company on how to obtain this.
  10. If you have any type of heart problem, you will need to be cleared by your cardiologist prior to your DOT appointment. We will need a letter from your cardiologist that you have been seen and are able to drive. If you have had an echocardiogram or stress test in the last 2 years, we will need a copy of that as well.
  11. If you have a history of any brain problems (stroke, seizure, TIA, etc.), dizziness or loss of consciousness (syncope or fainting), we will need clearance from your neurologist prior to your appointment.

You can obtain further information from the following agencies or their websites:

Iowa DOT, Federal Motor Carrier Safety Administration (FMCSA), National Registry of Certified Medical Examiners.


Call our Orange City Medical Clinic at 712-737-2000 to make an appointment for a DOT physical exam.

Orange City Area Health System is a comprehensive health system encompassing four family medicine clinics, sports medicine clinic, behavioral health clinic, award-winning hospital, birth center, surgical center, radiology and laboratory services, occupational health services, specialty outreach services, physical and aquatic therapy, home health and hospice, a retirement community, and a senior care center. The health system campus – designed with privacy and total healing as its foundation – is situated on 37 acres, including a pond with fountain, a healing garden, and a field of prairie grasses and wild flowers adjacent to the PuddleJumper Trail.

A team of family medicine providers, along with dedicated nurses, medical specialists, and 500 support staff, are committed to serving the region with the Core Values of Integrity, Commitment to Excellence, Dedicated Colleagues, and Extraordinary Customer Experience. Orange City Area Health System has been named one of the Top 20 Critical Access Hospitals in the nation, one of “50 Critical Access Hospitals to Know” in the U.S., and a Women’s Choice Award recipient for Outstanding Patient Experience for three consecutive years.



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